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Individual
VITUS D PALISOC
Active
Individual
VITUS D PALISOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1075083
TX
Other
Enumeration date
03/01/2013
Last updated
04/08/2013
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